By Nina Nazor
Have you or someone you love been recently diagnosed with gestational diabetes? You must be
worried, but relax, it can be controlled with a healthy diet, exercise and insulin if needed.
Gestational diabetes is the type of diabetes mellitus that is first detected during pregnancy, usually between week
24 and 28 of gestation. If you have gestational diabetes, your baby does not have diabetes, however, you must keep your blood
glucose levels under control to avoid health problems for you or your baby. Gestational diabetes affects about 4% of all pregnant
women in the United States each year.
What are the causes of gestational
The causes of gestational diabetes are not understood
in detail, but it seems like the placenta produces a hormone called placental lactogen, which is thought to inactivate up
to 50% of insulin action in your body. This makes it more difficult for your cells to use insulin and glucose cannot enter
the cells of your body to be stored or converted into energy and it then can build up in your blood to very high levels.
When the baby is born and the placenta is out of your body, it is very likely that your blood
glucose levels return to normal, but once you've had gestational diabetes, your chance of developing gestational diabetes
in future pregnancies is increased, as it is the risk of having type 2 diabetes.
In the case your blood glucose levels don't get back to normal after having your baby, then you must have had
diabetes before the pregnancy or developed type 1 or type 2 during the pregnancy. Then you would need to have diabetes treatment
You should have a glucose test 6 weeks after delivery to make
sure your glucose levels are in normal levels.
How does gestational
diabetes affect you and your baby?
Your baby does not have diabetes.
He is healthy and comfortable in your womb, but if you don't control glucose levels, the baby can get hurt.
When your blood glucose levels are high, the baby receives that excess glucose and produces
more and more insulin to use it or store it as fat. This can make your baby very big, what is called macrosomia.
If the baby is too big there be problems like damaged shoulders or another trauma related with
a difficult birth.
Also, the baby can develop dangerous low glucose levels
after he is separated from you. Since he is used to get high levels of glucose through the umbilical cord, his little body
is used to release too much insulin, and that causes hypoglycemia after birth.
problem the baby might have could be breathing difficulty because his lungs may not develop completely due to high glucose
levels in your blood.
You can be at greater risk for hypertension, preclampsia
and C.section, but remember, if you keep glucose under control and follow a heathy diet, exercise regularly and do what your
Diabetes Care Team tells you to do, you will have a successful pregnancy and your baby will be healthy.
How is gestational diabetes diagnosed?
test for diagnose has two components. First, the people at the lab would give you a drink containing 50g of glucose. Then,
after 1 hour, they would take another sample of your blood and test it. If you have above 140 mg/dL they will ask you to come
back other day to have a glucose tolerance test
In this test, they will
take a fasting blood sample, give you a drink with 100g of glucose and take samples again at 30 minutes, 1 hour, 2 hours and
The diagnosis is positive for gestational diabetes if you have
any two of the following values: a fasting plasma glucose above 105 mg/dl, a 1-hour glucose above than 190 mg/dl, a 2-hour
glucose level above 165 mg/dl, or a 3-hour glucose concentration of more than 145 mg/dl.
Treating gestational diabetes
Treatment has to be started
immediately. Your health team might even ask you to stay at the hospital to be monitored. For sure you will need to have a
meal plan designed for you, an exercise plan, daily blood glucose monitoring and insulin shots if your blood glucose levels
don't respond well to diet and exercise.
The use of diabetes pills
during pregnancy is not recommended since they cross the placenta reaching the baby. Insulin works only in your body helping
keep your blood glucose levels under control but without crossing the placenta and thus, not affecting the baby.
Following the treatment correctly will allow you to have a healthy pregnancy and birth, protecting
You have an increased risk for developing diabetes in the future, so you should try to follow a healthy lifestyle,
lose weight, exercise regularly, eat a well balanced diet and stay fit.
from the American Diabetes Association: Gestational Diabetes Information.